| NPI | 1982064101 |
|---|---|
| Former Name | JESSICA S. JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 6236) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2018-12-03 |