NPI | 1942256292 |
---|---|
Former Name | JESSICA EMILY DONN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY10656) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: PA PS016377) |
103TC0700X Psychologist Clinical (Licence: NY 027304-01) | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2025-07-23 |