NPI | 1174150536 |
---|---|
Former Name | JESSICA ANN SCHNUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR 20-QMHP-R-0209) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2020-03-25 |
Last Update Date | 2020-12-10 |