| 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 |