| NPI | 1972099810 |
|---|---|
| Former Name | JENNIFER ASHLEY GOLDITCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 016318) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 27307) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-10-04 |