| NPI | 1194957670 |
|---|---|
| Former Name | JENNIFER SCHENK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ PSY-005700) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60267748) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2023-05-26 |