| NPI | 1275778672 |
|---|---|
| Former Name | ANDREA RAE MONROE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: MI 53063) |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2024-01-23 |