| NPI | 1457644791 |
|---|---|
| Former Name | JAKIA MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20338) |
| Additional Taxonomies | 174400000X Specialist |
| 224P00000X Prosthetist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CCS-20868) | |
| 101YM0800X Counselor, Mental Health (Licence: NC S8392) | |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2026-03-13 |