| NPI | 1871709717 |
|---|---|
| Former Name | JENNIFER JULIE AMASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS017254) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2012-09-11 |