| NPI | 1013754050 |
|---|---|
| Former Name | JESSICA LEA ZIERLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6451023720) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 6451023720) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-07-09 |
| Last Update Date | 2024-11-21 |