NPI | 1417195611 |
---|---|
Former Name | JACLYN BURDAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
174400000X Specialist | |
Enumeration Date | 2009-01-26 |
Last Update Date | 2025-01-08 |