| NPI | 1649418005 |
|---|---|
| Former Name | JOLIE ISSA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: RI PS01616) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 019636) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2021-07-25 |