| NPI | 1780819185 |
|---|---|
| Former Name | JILLIAN RENEE SCHARDEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 1155) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ 16530) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2025-09-18 |