| NPI | 1821395039 |
|---|---|
| Former Name | JENNIFER L KERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301014102) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301014102) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2015-12-01 |