| 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 |