| NPI | 1912107020 |
|---|---|
| Former Name | JILL LESLIE SCHRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301012830) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301012830) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2024-10-31 |