| NPI | 1326159781 |
|---|---|
| Former Name | JILL SHREVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002864) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C002864) |
| 101YM0800X Counselor, Mental Health (Licence: NC C002864) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-03-31 |