| 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 |