| NPI | 1689084717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801100954) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 247200000X Technician, Other | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2022-07-21 |