| NPI | 1619581907 |
|---|---|
| Former Name | JILL ELIZABETH JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.14092) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2022-05-27 |