| NPI | 1174093033 |
|---|---|
| Former Name | HAYLEY MICHELLE JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 116816) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08771) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2023-07-31 |