| NPI | 1508562497 |
|---|---|
| Former Name | ELISA JORDAN FERRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61560895) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC61114437) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2025-02-24 |