| NPI | 1588671382 |
|---|---|
| Former Name | JESSICA ONDROVIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34993) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 20212) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2013-04-30 |