| NPI | 1235366675 |
|---|---|
| Former Name | JILL G MATTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 12033) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 12033) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |