| NPI | 1528835832 |
|---|---|
| Former Name | JILLIAN SCHWISOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC61499709) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2024-02-28 |