NPI | 1184799512 |
---|---|
Former Name | JILL M PETERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 124) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 1526) |
1041C0700X Social Worker, Clinical (Licence: NE 959) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2021-05-05 |