| NPI | 1790966729 |
|---|---|
| Former Name | JEANNE E PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 2212) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 2212) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2018-11-27 |