NPI | 1851971113 |
---|---|
Former Name | JACKLIN SKIBICKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE PC-0000992) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DE PC-0000992) |
Enumeration Date | 2021-04-12 |
Last Update Date | 2024-02-13 |