| NPI | 1104262427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013591) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6401013591) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2019-04-29 |