| NPI | 1740682970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: MI 6802080373) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MI 4151001020) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: MI 6802080373) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2022-03-22 |