| NPI | 1689938177 |
|---|---|
| Former Name | KATHERINE JENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10429) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ TL-2102) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2022-09-13 |