NPI | 1477175420 |
---|---|
Former Name | JAYCIE MARIE GIORDANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112447) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801103858) |
Enumeration Date | 2020-05-13 |
Last Update Date | 2023-10-05 |