| NPI | 1902336852 |
|---|---|
| Former Name | JOLYNN M CONWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003609A) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2023-02-10 |