NPI | 1245473503 |
---|---|
Professional Name | JESSICA WELT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003210) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 017406-1) |
Enumeration Date | 2009-04-15 |
Last Update Date | 2019-07-09 |