NPI | 1902607666 |
---|---|
Former Name | JENNA SEWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004522) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6268) |
103TC0700X Psychologist, Clinical (Licence: GA PSY004522) | |
103TC0700X Psychologist, Clinical (Licence: NC 6268) | |
Enumeration Date | 2025-03-20 |
Last Update Date | 2025-03-20 |