| NPI | 1659679686 |
|---|---|
| Former Name | JORDANNA LAVINA BURKETT CRIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC-14035) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS LCPC 2226) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2018-07-24 |