NPI | 1942310792 |
---|---|
Former Name | JENNIFER LYNNE SAUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6301013859) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180005980) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2009-10-20 |