NPI | 1437286986 |
---|---|
Former Name | JENNIFER ALIDA FELKER-THAYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 1428) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OR 1428) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2021-01-13 |