| NPI | 1902918121 |
|---|---|
| Other Name | GAIL OVERLAND JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 9454) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 03183) |
| 106H00000X Marriage & Family Therapist (Licence: TX 2684) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2007-07-08 |