| NPI | 1881119535 |
|---|---|
| Former Name | JESSICA CIESLAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851104532) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2025-08-27 |