NPI | 1417014754 |
---|---|
Professional Name | JESSICA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 47647) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-01-03 |
Last Update Date | 2017-03-07 |