| NPI | 1881193134 |
|---|---|
| Former Name | JORDAN HALSETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ND 1618) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2019-03-25 |