| NPI | 1124288808 |
|---|---|
| Former Name | JENNIFER ROSE HEFEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS 01527) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KS 1275) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2023-03-22 |