NPI | 1124341052 |
---|---|
Former Name | JENNIFER PIERCE MUNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006900) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 60407788) |
Enumeration Date | 2010-03-06 |
Last Update Date | 2020-09-21 |