| NPI | 1780152777 |
|---|---|
| Former Name | LINDSAY L JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166001538) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 208000676) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2022-03-02 |