NPI | 1346898111 |
---|---|
Former Name | JORDAN NEJAIME |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 122541) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-18006) |
Enumeration Date | 2019-08-26 |
Last Update Date | 2024-12-12 |