| NPI | 1003219528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6802087755) |
| 104100000X Social Worker (Licence: MI 6802087755) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2018-09-06 |