NPI | 1790053460 |
---|---|
Former Name | JENNIFER JEAN SOLIN ROTHSCHADL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN 5907) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP5907) |
Enumeration Date | 2011-12-08 |
Last Update Date | 2024-05-16 |