NPI | 1770758328 |
---|---|
Former Name | JENNIFER R. WHALEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1204) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP-8987) |
Enumeration Date | 2008-04-24 |
Last Update Date | 2021-11-30 |