| NPI | 1396058731 |
|---|---|
| Former Name | JENNIFER MARIE WHITCOMB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10933) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2019-01-31 |