| NPI | 1689984767 |
|---|---|
| Former Name | JESSICA KINKELA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: OH 6695) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 6695) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2025-03-11 |