| NPI | 1477838258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401012586) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6401012586) |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2022-02-23 |