| NPI | 1902096217 |
|---|---|
| Former Name | JENA MICHELLE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1263) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2008007856) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2011-09-15 |