| NPI | 1831450055 |
|---|---|
| Former Name | JENNIFER MARIE COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004452) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12476) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL sz5770) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2022-04-13 |