| NPI | 1689058182 |
|---|---|
| Former Name | JESSICA RAE BRESKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102148) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2102148) |
| 101YP2500X Counselor, Professional (Licence: OH C.1400327) | |
| 1041C0700X Social Worker, Clinical (Licence: OH S.1101358) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2023-07-18 |