| NPI | 1134640170 |
|---|---|
| Former Name | JACALYN LAENG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901923-SUPV) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2024-11-13 |