| NPI | 1114212339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801063304) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6801063304) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2021-11-10 |