| NPI | 1336185719 |
|---|---|
| Former Name | JILL LYNN WILEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC000718) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC-000718) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2017-05-09 |