| NPI | 1578767000 |
|---|---|
| Former Name | CASSANDRA D. JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12790) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005373) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2023-12-18 |