| NPI | 1184081879 |
|---|---|
| Former Name | JENNIFER EIDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY27889) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ PSY006027) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2026-01-21 |