| NPI | 1679989933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802088114) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2018-03-08 |