| NPI | 1306043062 |
|---|---|
| Former Name | JILL T VAUGHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: CT 002891) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CT 002891) |
| 363L00000X Nurse Practitioner (Licence: CT CTAPRN002891) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2010-11-18 |