| NPI | 1801040498 |
|---|---|
| Former Name | JANICE MARIE MUNGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA16220) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 0111261) |
| Enumeration Date | 2008-11-09 |
| Last Update Date | 2021-10-25 |