NPI | 1801516653 |
---|---|
Other Name | JEN HENRETTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 25651) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005845) |
Enumeration Date | 2022-08-31 |
Last Update Date | 2022-08-31 |