| NPI | 1639418627 |
|---|---|
| Former Name | JENA GARRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV py1089) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV PY1089) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2022-12-14 |