| NPI | 1255980041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851108036) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI H400488785521) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2023-03-23 |