| NPI | 1043538226 |
|---|---|
| Former Name | BRITTANY ALISE JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM CTB20240170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2025-10-30 |