NPI | 1790107563 |
---|---|
Former Name | JORDAN L BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: SC 10508) |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
Enumeration Date | 2014-01-14 |
Last Update Date | 2021-04-13 |