NPI | 1760617203 |
---|---|
Former Name | JENNIFER MARIE OLSZEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: WI 4045) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 14802) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2016-12-29 |