NPI | 1699103242 |
---|---|
Professional Name | BETH Z JACKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA csw005424) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA 005424) |
Enumeration Date | 2013-10-17 |
Last Update Date | 2025-06-30 |