| NPI | 1972262533 |
|---|---|
| Former Name | JENNIFER LAUREN COLWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14399) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 31966) |
| 235Z00000X Speech-Language Pathologist, (Licence: TN 6842) | |
| 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2010) | |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |