| NPI | 1437805231 |
|---|---|
| Former Name | JORDAN PATRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 11316) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6142) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2024-11-15 |