| NPI | 1619956844 |
|---|---|
| Other Name | JESSICA LEIGH VIERGUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60317232) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 00977) |
| 103TC0700X Psychologist, Clinical (Licence: NY 0168651) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2024-05-31 |