NPI | 1598903932 |
---|---|
Former Name | JAMIE MARIE TESKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3457) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2009-01-22 |
Last Update Date | 2025-04-17 |