| NPI | 1013257179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 6803085828) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2015-07-05 |