| NPI | 1437877628 |
|---|---|
| Former Name | JORDAN BOSSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2494) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP28271) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |