NPI | 1740720846 |
---|---|
Former Name | JENNA SOBKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108614) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-03-08 |
Last Update Date | 2024-04-18 |