| NPI | 1598921918 |
|---|---|
| Former Name | JENA MARIE SAPORITO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS017690) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 103TC0700X Psychologist Clinical (Licence: TN P2918) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2015-02-12 |