| NPI | 1790127140 |
|---|---|
| Former Name | JESSICA LINLEY KREIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 15424) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2020-07-07 |