| NPI | 1760726228 |
|---|---|
| Former Name | JEWRINE VONCILE HAROLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10242) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 2784-A) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2020-04-23 |