| NPI | 1700396223 |
|---|---|
| Former Name | JADA DOVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00627600) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024079) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2021-01-24 |