| NPI | 1023661071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401017391) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2022-12-09 |