| NPI | 1346598133 |
|---|---|
| Former Name | JESSICA M JOSEPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 25954) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CA 25954) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2020-01-07 |