| NPI | 1295964526 |
|---|---|
| Former Name | TEMPEST JIMILL JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2020-08-12 |