| NPI | 1265869903 |
|---|---|
| Other Name | JESSICA CODY FRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007960A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 99058554A) |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2021-01-20 |