| NPI | 1649910787 |
|---|---|
| Former Name | SARA RUTH RICKETTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OK 8462) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 106955) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |