| NPI | 1437402757 |
|---|---|
| Former Name | JILL MARIE SWARTWOUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY10001771) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 005014) |
| 103TC0700X Psychologist, Clinical (Licence: MO 2012036311) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2025-08-20 |