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 |