NPI | 1801247754 |
---|---|
Other Name | JENNA BURTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 023481) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2016-06-22 |
Last Update Date | 2020-01-15 |