| NPI | 1306256771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801105084) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6801096466) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2019-11-21 |