| NPI | 1104171511 |
|---|---|
| Former Name | JAMIE LEE KREMSREITER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IA 073905) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 4300) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2019-05-30 |