| NPI | 1528627098 |
|---|---|
| Former Name | JILLANA JOY PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114684) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 25877) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2023-04-10 |