| NPI | 1467877654 |
|---|---|
| Former Name | BIANCA JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 7544-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 7544M) |
| 104100000X Social Worker (Licence: AR 7544-M) | |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2023-07-31 |