| NPI | 1780063883 |
|---|---|
| Other Name | JILL WHITLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR Spp8971) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-10-21 |