NPI | 1306266549 |
---|---|
Former Name | JANEL ACKERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 115677) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 21119) |
Enumeration Date | 2014-04-25 |
Last Update Date | 2025-05-29 |