| NPI | 1255543880 |
|---|---|
| Former Name | CATHY CHRISTINE JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN LPC0000002380) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001861) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2024-06-26 |