| NPI | 1669858387 |
|---|---|
| Former Name | JENISE WOLFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22006171A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46002624A) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |