| NPI | 1992986566 |
|---|---|
| Former Name | JENNIFER ANN GULLESSERIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018273-1) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2019-08-07 |