| NPI | 1205202959 |
|---|---|
| Former Name | JORDAN MARSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 6764) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 4942-27) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2022-12-14 |