NPI | 1467765289 |
---|---|
Professional Name | JENNIFER LARSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: HI PSY2123) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY27179) |
Enumeration Date | 2010-07-21 |
Last Update Date | 2024-01-05 |