| NPI | 1063267706 |
|---|---|
| Other Name | JAE PURNELL |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 026242-01) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 026242) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2025-07-01 |