| NPI | 1497247175 |
|---|---|
| Former Name | JORDAN EVANS HERNICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014564) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 69069) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-04-03 |