| 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 |