NPI | 1932274453 |
---|---|
Former Name | JENNIFER KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05831) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL 7388) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2019-04-11 |