| NPI | 1578983854 |
|---|---|
| Former Name | JESSICA MARIE RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0102205632) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0102205632) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA Os019421) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA oSo19421) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2020-01-12 |