| NPI | 1346569894 |
|---|---|
| Former Name | SARAH LYNETTE JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401011852) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI L2482392) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2023-04-24 |