| NPI | 1235665886 |
|---|---|
| Former Name | JORDYN LEA PFEIFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NE 11016) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 2756) |
| 1041C0700X Social Worker Clinical (Licence: NE 7103) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2018-10-16 |