NPI | 1336667922 |
---|---|
Professional Name | DOLORES P JACOBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 101YP1600X Counselor Pastoral (Licence: 604151293) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 604151293) |
Enumeration Date | 2017-09-02 |
Last Update Date | 2022-07-21 |