NPI | 1942579966 |
---|---|
Former Name | JASMINE JILEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 4446) |
Additional Taxonomies | 101Y00000X Counselor (Licence: ND 4446) |
104100000X Social Worker (Licence: ND 4446) | |
Enumeration Date | 2011-12-20 |
Last Update Date | 2021-10-05 |