NPI | 1154163822 |
---|---|
Former Name | JILL WAYRYNEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041S0200X Social Worker School (Licence: MA 528191) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 229214) |
Enumeration Date | 2024-06-12 |
Last Update Date | 2024-06-12 |