| NPI | 1639641236 |
|---|---|
| Former Name | JUDITH OR JUDY MARIA BRAVEHEART-JORDAN OR JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11189) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 986105) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2020-03-30 |