| NPI | 1063486330 |
|---|---|
| Former Name | JESSICA A SCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 00999) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IA 00999) |
| 101YM0800X Counselor, Mental Health (Licence: IA 00999) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2010-06-24 |