NPI | 1740428135 |
---|---|
Former Name | MEGAN THERESA JABLONOWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005964A) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 46001920A) |
Enumeration Date | 2009-01-23 |
Last Update Date | 2015-02-19 |