| NPI | 1275749921 |
|---|---|
| Former Name | JANE MUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.006368) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 004310) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |