| NPI | 1871972521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401018009) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401015710) |
| 171M00000X Case Manager/Care Coordinator (Licence: MI 6803086711) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2020-01-07 |