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 |