| NPI | 1932656691 |
|---|---|
| Former Name | JESSICA DANIELLE VIETOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 9773) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2024-01-10 |