NPI | 1639586837 |
---|---|
Professional Name | JAMIE THERESE CAMPOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY6041422) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60414222) |
174400000X Specialist (Licence: WA RYT 117032) | |
Enumeration Date | 2014-07-20 |
Last Update Date | 2021-03-24 |