| NPI | 1154440568 |
|---|---|
| Former Name | JEWELL TAMAR HAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1244) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 03046) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-06-09 |