NPI | 1649645664 |
---|---|
Professional Name | JESSICA BOLGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004910) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000914) |
Enumeration Date | 2015-12-02 |
Last Update Date | 2015-12-02 |