| NPI | 1104683952 |
|---|---|
| Former Name | KAYDIAN LEE JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5978C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AL 5861G) |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2025-01-01 |