| NPI | 1679818587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801103959) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802087562) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2021-11-24 |