| NPI | 1861584393 |
|---|---|
| Former Name | JESSICA VETRANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 004717) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 004717) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2025-09-11 |