| NPI | 1992960017 |
|---|---|
| Former Name | JAMIE LYNN SCHAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15531130) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2016-05-24 |