| NPI | 1346640646 |
|---|---|
| Former Name | JORDAN AMBURGY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2405889) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2204187-TRNE) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2024-04-17 |