| NPI | 1164877213 |
|---|---|
| Former Name | JOVANA BURDICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1228690416) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2021-06-22 |