| NPI | 1689150633 |
|---|---|
| Former Name | ANDREA KORDIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 2586) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NE 201) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2026-07-21 |