| 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 |