| NPI | 1790091114 |
|---|---|
| Former Name | JESSICA N GILHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 2011020650) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 2010027724) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2012-09-07 |