NPI | 1982865895 |
---|---|
Former Name | JENNIFER EILEEN O'BRIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL SA10370) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 2008016599) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2021-07-01 |