| NPI | 1003161076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801101207) |
| Additional Taxonomies | 171W00000X Contractor |
| 172V00000X Community Health Worker (Licence: MI 6802087049) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2018-03-22 |