| NPI | 1447723572 |
|---|---|
| Former Name | JORDAN LOVETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451022276) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6451022276) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2024-02-01 |