| NPI | 1558688242 |
|---|---|
| Former Name | JODEY LYNN PEDERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2020-02-26 |