| NPI | 1699911503 |
|---|---|
| Former Name | SHIRLEY J HUISMAN JEZOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 7390) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2013-05-29 |