| NPI | 1710361944 |
|---|---|
| Former Name | JILL MARIE PIETRZAKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005448) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 22493) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |