NPI | 1023861424 |
---|---|
Former Name | JORDAN QUICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P020326) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-30352) |
Enumeration Date | 2024-04-08 |
Last Update Date | 2025-07-18 |