| NPI | 1821163213 |
|---|---|
| Former Name | JUNE MARIE JASNIEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MN 9139) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WI 563-154) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-03-18 |