| NPI | 1366926917 |
|---|---|
| Other Name | JACKIE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA mc60817390) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |