| NPI | 1851900039 |
|---|---|
| Former Name | JORDAN ASHLEY WHITLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 9633) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 111797) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |