NPI | 1194319426 |
---|---|
Former Name | JANELLE CHESELKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MA 000226615) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000226615) |
Enumeration Date | 2021-02-26 |
Last Update Date | 2022-07-06 |