| NPI | 1245852524 |
|---|---|
| Professional Name | LUTRICIA L JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60086332) |
| Enumeration Date | 2020-05-10 |
| Last Update Date | 2020-05-10 |