| 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 |