NPI | 1639269897 |
---|---|
Former Name | JENNIFER ROSE OLSZEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA CW015449) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1440290-SUPV) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2023-04-07 |