| NPI | 1326317041 |
|---|---|
| Former Name | JESSICA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY11842) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2023-06-14 |