NPI | 1346492873 |
---|---|
Former Name | JENNIFER ANN DYSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2181) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2008-10-15 |
Last Update Date | 2023-11-29 |