| NPI | 1336831833 |
|---|---|
| Former Name | JORDAN PAIGE HENDRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA CIT-5062) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |