| 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 |