| NPI | 1679289102 |
|---|---|
| Former Name | JESSICA MARIE SCHLUETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 120638) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 101359) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |