| 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 | 2023-06-07 |