| NPI | 1992013874 |
|---|---|
| Former Name | JEWEL CHAMBERLAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10041) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2024-10-15 |