| NPI | 1366761645 |
|---|---|
| Former Name | JENNIFER FRAZIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32262) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY32262) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2024-03-15 |