| NPI | 1194104638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801113563) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801113563) |
| 171M00000X Case Manager/Care Coordinator (Licence: MI 6802088243) | |
| 247200000X Technician, Other (Licence: MI 6802088243) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2024-04-03 |