| NPI | 1710687488 |
|---|---|
| Former Name | JORDAN HEICHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CW023512) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW134190) |
| Enumeration Date | 2023-03-09 |
| Last Update Date | 2023-04-05 |