NPI | 1285834051 |
---|---|
Professional Name | LATEASA REED-JACKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007475) |
Additional Taxonomies | 104100000X Social Worker (Licence: SC 8387) |
1041C0700X Social Worker, Clinical (Licence: TX 0904007475) | |
Enumeration Date | 2007-07-20 |
Last Update Date | 2024-08-02 |