| NPI | 1851643175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401013020) |
| 101YP2500X Counselor Professional (Licence: MI 6401013020) | |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2024-05-30 |