| NPI | 1538783337 |
|---|---|
| Former Name | JORDAN SKYLER TRAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 201838) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 8554) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2022-07-05 |