| NPI | 1548355878 |
|---|---|
| Former Name | JENNIFER ANN REGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA G57306) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G57306) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2019-11-12 |