| NPI | 1891075818 |
|---|---|
| Former Name | JOCLYN GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 014732) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2023-11-14 |