| NPI | 1578258380 | 
|---|---|
| Doing Business As | KIMBERLY JACKSON | 
| Entity Type | Organization | 
| Authorized Contact | KIMBERLY JACKSON Counselor/Owner 302-252-5063  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2023-04-07 | 
| Last Update Date | 2023-04-07 |