| NPI | 1467791624 |
|---|---|
| Former Name | JILL MARIE GILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 1816) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 9882) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2020-06-22 |