| NPI | 1477109247 |
|---|---|
| Former Name | JESSICA LEIGH KELLIHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SC 1587) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-10-18 |