| NPI | 1932246535 |
|---|---|
| Former Name | JILL HEARNE SUNDSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 24053) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 15699) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2023-09-26 |