| NPI | 1770647364 |
|---|---|
| Former Name | JENNIFER RAE KING-VASSEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: WI 36971-020) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-12-01 |