| NPI | 1598265902 |
|---|---|
| Former Name | JENNIFER M GILLIS |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 4604) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2025-01-08 |