NPI | 1396955258 |
---|---|
Former Name | JENNIFER ANN LAFFERTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA 24242) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 24242) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2011-06-03 |