| NPI | 1821601337 |
|---|---|
| Former Name | ELIZABETH RAE JARRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 285884) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 270643) |
| 101YP2500X Counselor, Professional (Licence: KY 285884) | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-12-28 |