| NPI | 1003941121 |
|---|---|
| Former Name | JENNIFER MARIE JAMIESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 8676) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 8676) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2015-08-12 |