| NPI | 1477002087 |
|---|---|
| Former Name | MARY JACOBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 089849) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72-098804) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2021-07-21 |