| NPI | 1942640008 |
|---|---|
| Other Name | JORDAN ELIZABETH OATHOUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY P02061) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2022-12-21 |