| NPI | 1649378159 |
|---|---|
| Former Name | JAN SNYDER PEREA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY4507) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 3642) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |