NPI | 1295981454 |
---|---|
Former Name | JENNIFER LYNN MORRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OK 1099) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OK 1099) |
103TF0000X Psychologist, Family (Licence: OK 1099) | |
Enumeration Date | 2008-08-07 |
Last Update Date | 2019-01-25 |