| NPI | 1598257511 |
|---|---|
| Former Name | ERIN JACKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MI 6801109007) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MI 6801095894) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2021-04-22 |