NPI | 1760714950 |
---|---|
Former Name | JESSICA JO CANTU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11899) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103435) |
Enumeration Date | 2010-02-12 |
Last Update Date | 2016-09-25 |