| NPI | 1144643206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098620) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MI 6802087949) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2020-08-13 |