| NPI | 1801100102 |
|---|---|
| Former Name | CATHERINE S JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 63326) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MN 61669) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2023-12-21 |