| NPI | 1447422027 |
|---|---|
| Former Name | ERIN NICOLE JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2022-07-21 |