| NPI | 1013931583 |
|---|---|
| Former Name | JENNIFER DAWN RUSIN WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017029) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TN P0000001892) |
| 103TC1900X Psychologist, Counseling (Licence: GA PSY001915) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-10-21 |