| NPI | 1902351125 |
|---|---|
| Former Name | JESSICA HINSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: AZ PSY-004785) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: MI 6301016102) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2024-12-16 |