NPI | 1609126697 |
---|---|
Former Name | JESSICA LELENIEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801096677) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-09-17 |
Last Update Date | 2022-06-22 |