| NPI | 1407542624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6851118834) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802089266) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2024-09-15 |