| NPI | 1942882345 |
|---|---|
| Professional Name | SANQUANITA CHARNAE JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA 011332403) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2021-05-10 |