| NPI | 1003256132 |
|---|---|
| Former Name | JEROLYNN BELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4999-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 4999-125) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2019-05-30 |