| NPI | 1083049720 |
|---|---|
| Former Name | JESSICA MARKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY 114282) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY 0050) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2023-05-08 |