NPI | 1598203853 |
---|---|
Former Name | JESSICA GASKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL AS5014) |
Enumeration Date | 2017-02-07 |
Last Update Date | 2021-05-25 |