| NPI | 1851597223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 1041CO700X) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 171100000x) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-07-08 |