| NPI | 1346574340 |
|---|---|
| Former Name | LORA JAKUBCZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080159) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078956) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2015-10-09 |