| NPI | 1043864341 |
|---|---|
| Former Name | KARISSA ANN SCHLESSELMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2019039845) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2022-10-18 |