| NPI | 1689283608 |
|---|---|
| Former Name | JAMIE LYNN PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 6340-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.014772) |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2023-09-10 |