| NPI | 1467691915 |
|---|---|
| Former Name | JESSICA GENDELMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0679) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 21104) |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2021-02-27 |