| NPI | 1528225158 |
|---|---|
| Former Name | JILLYN KYARSGAARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007861) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014677) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2022-12-10 |