| NPI | 1073892816 |
|---|---|
| Former Name | JENNIFER SUZANNE SCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC 1527) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY PAT-058) | |
| 172V00000X Community Health Worker | |
| 101YP2500X Counselor, Professional (Licence: WY PPC-823) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY LAT-351) | |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2017-01-13 |