| 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 |