| NPI | 1447397724 |
|---|---|
| Former Name | JACKIE MARIE DUNCAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker School (Licence: LA 6744) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 6744) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-04-04 |