| 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 |