| NPI | 1992858997 |
|---|---|
| Former Name | JILL A. GRACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3235) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS19812) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2007-09-06 |