NPI | 1174652598 |
---|---|
Former Name | JORDAN DUNYASHA DUNYASHA/SHANAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25864) |
Additional Taxonomies | 104100000X Social Worker (Licence: CA 20718) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2013-10-24 |