| NPI | 1619134293 |
|---|---|
| Former Name | JESSICA MARIE GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 014972) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NY 014972-1) |
| 235Z00000X Speech-Language Pathologist (Licence: 014972-1) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2019-04-05 |