NPI | 1861039208 |
---|---|
Former Name | JESSICA KARAEFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY33935) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY33935) |
Enumeration Date | 2019-12-04 |
Last Update Date | 2025-09-15 |