| NPI | 1528716982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6801107678) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6801107678) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-05-25 |