| NPI | 1073140695 |
|---|---|
| Professional Name | JEWELL GIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P014425) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC P014425) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-04-23 |