| NPI | 1437632189 |
|---|---|
| Former Name | JORDAN BOYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2025-03-06 |