| NPI | 1124793435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6451018125) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-16 |