NPI | 1134478910 |
---|---|
Former Name | JESSICA LYNN GARRITY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A128967) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-09-07 |
Last Update Date | 2022-07-05 |