| NPI | 1467454652 |
|---|---|
| Other Name | JACQUELINE ANNE SAMSON-JAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: MA 4522) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 4522) |
| 103T00000X Psychologist (Licence: MA 4522) | |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2010-07-09 |