| NPI | 1750782215 |
|---|---|
| Former Name | JENNIFER CALEY JACOBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R0591) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX BP10050015) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2020-02-20 |