| NPI | 1912168972 |
|---|---|
| Former Name | LORI A IACOBBO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH9463) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 9463) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL MH9463) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2020-07-09 |