| NPI | 1487665584 |
|---|---|
| Former Name | JENNIFER REBEKAH HIEMENZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NC 2648) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 2648) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2019-10-15 |