| NPI | 1588326631 |
|---|---|
| Former Name | JORDAN ELIZABETH ANDREWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 428619) |
| 225XM0800X Occupational Therapist, Mental Health (Licence: OR 428619) | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-18 |