NPI | 1669462719 |
---|---|
Former Name | JACQUELINE A SCRIBNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002286A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000345A) |
Enumeration Date | 2005-10-28 |
Last Update Date | 2007-07-08 |