| NPI | 1801127832 |
|---|---|
| Former Name | JORDAN ELIZABETH REISER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125380) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 62130) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2022-09-01 |