NPI | 1629692827 |
---|---|
Former Name | JESSICA GALUSZKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6851119033) |
1041C0700X Social Worker, Clinical (Licence: MI 6951119033) | |
Enumeration Date | 2020-06-03 |
Last Update Date | 2024-10-31 |