NPI | 1255688511 |
---|---|
Former Name | JACQUELYN GLESSNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007794) |
Enumeration Date | 2012-08-06 |
Last Update Date | 2020-01-14 |