| NPI | 1770027484 |
|---|---|
| Former Name | JENESSA LYNN BURROUGHS, HARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ID SLP-3375) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2022-06-13 |