| NPI | 1467036756 |
|---|---|
| Former Name | JESSICA NICOLE SCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.182954) |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2025-03-14 |