| NPI | 1215635255 |
|---|---|
| Former Name | DONNA JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: IL 150.108691) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |