| NPI | 1821334665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 6401013303) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401013303) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2013-06-21 |