| NPI | 1588949135 |
|---|---|
| Former Name | JACQUELYN A. JAKUBOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 7787-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 21324) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2016-04-26 |