| NPI | 1497273015 |
|---|---|
| Former Name | JANA B DYKSTRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20043084A) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: IN 20043084A) |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2024-05-01 |