| NPI | 1669531729 |
|---|---|
| Former Name | JENNIFER GOSCICKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006625) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7372) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-02-26 |