| NPI | 1356681423 |
|---|---|
| Former Name | JESSICA JEAN SIERZCHULA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SC 83681) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: VA 0102203965) |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2021-06-30 |