| NPI | 1962751339 |
|---|---|
| Former Name | JENNIFER ANN NORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TN P3102) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: TN P3102) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2018-04-25 |