NPI | 1962780486 |
---|---|
Former Name | JILL MARXER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MN 17794) |
Additional Taxonomies | 104100000X Social Worker (Licence: WI 9090) |
1041S0200X Social Worker, School (Licence: MN 450174) | |
Enumeration Date | 2011-08-01 |
Last Update Date | 2012-12-21 |