| NPI | 1639411341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112450) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801105417) |
| 171M00000X Case Manager/Care Coordinator (Licence: MI 6802085184) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2021-12-15 |