| NPI | 1689980302 |
|---|---|
| Former Name | JENNIFER ERIN STEVENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: WA PY60137402) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60137402) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2020-05-18 |