| NPI | 1811389638 |
|---|---|
| Former Name | LESLIE JO VAN WINKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1730) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2022-07-20 |