| NPI | 1831858869 |
|---|---|
| Former Name | JORDAN RAY MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW008172) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC sw12393) |
| 1041S0200X Social Worker, School (Licence: GA 1804701) | |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2021-12-17 |