| NPI | 1538505680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2020039358) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802086880) |
| 171M00000X Case Manager/Care Coordinator (Licence: MI 6801097123) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2020-11-25 |