| NPI | 1295213882 |
|---|---|
| Former Name | JESSICA M STROHMAYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 34621) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |