| NPI | 1578041794 |
|---|---|
| Former Name | JORDAN BAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13528) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH COND.2018728-SP) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2024-07-30 |