| NPI | 1124484977 |
|---|---|
| Former Name | JAMIE YARROW |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043044A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-01-10 |
| Last Update Date | 2022-03-22 |