NPI | 1437642402 |
---|---|
Former Name | JACKLYN SCHARFENBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015000876) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2015000876) |
Enumeration Date | 2018-06-13 |
Last Update Date | 2023-08-15 |