| NPI | 1578072567 |
|---|---|
| Former Name | FRANCES KAY JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106633) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-10767) |
| 1041C0700X Social Worker, Clinical (Licence: NY 095681) | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2024-01-18 |