| 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 |