| NPI | 1982351102 |
|---|---|
| Former Name | TERESA JEAN JESZEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 127725-121) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 14880) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |