| NPI | 1013431618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: MI 4704274055) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MI 4704274055) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |