| 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 |