NPI | 1508124058 |
---|---|
Former Name | JENNIE M LOBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ME LC14033) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW02220) |
1041C0700X Social Worker, Clinical (Licence: NH 2976) | |
Enumeration Date | 2012-05-02 |
Last Update Date | 2024-11-13 |