| NPI | 1194114389 |
|---|---|
| Former Name | JANA RICHERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 2811) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-02-05) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2023-11-09 |