| NPI | 1902388333 |
|---|---|
| Former Name | JUDY G WHITE-JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 76030) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: LA 9899) |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2025-06-24 |