| NPI | 1205470168 |
|---|---|
| Other Name | JASMINE WATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180011232) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 36237) |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2021-12-29 |