| NPI | 1376746370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 6401007559) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401007559) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2019-08-29 |