NPI | 1750600862 |
---|---|
Former Name | JODI ANN ANDERST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 32749) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-05-28 |
Last Update Date | 2022-02-14 |