| NPI | 1265801708 |
|---|---|
| Former Name | LASHAWN JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3822) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2025-08-31 |