| NPI | 1891130985 |
|---|---|
| Former Name | JENNIE LEONA WETHERINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 0000004950) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |