| NPI | 1225372386 |
|---|---|
| Former Name | JASMINE ANNGENIKA HUDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801097829) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106S00000X Behavior Technician | |
| 247200000X Technician, Other | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-05-02 |