NPI | 1588051940 |
---|---|
Former Name | JENNIFER MCDONALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OH P08770) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY35388) |
Enumeration Date | 2015-04-22 |
Last Update Date | 2025-05-13 |