| NPI | 1790153757 |
|---|---|
| Former Name | JENNIFER VERONICA SLUSARZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY7848) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: IL 071.007274) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |