| NPI | 1477983484 |
|---|---|
| Other Name | JO ANN MEDINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 033491) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: NY 033491) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |