| NPI | 1205277175 |
|---|---|
| Former Name | BEVERLY PARK-JEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC #326) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA LPCC326) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2022-03-17 |