NPI | 1801911144 |
---|---|
Former Name | JAMEE JACQUOT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006804) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2001031975) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-01-07 |