| NPI | 1992495774 |
|---|---|
| Former Name | JADE-HEATHER MARANDA ACKERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-SWLC-LIC-57348) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |