| NPI | 1902292188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 112791) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801117536) |
| 171M00000X Case Manager/Care Coordinator | |
| 101YM0800X Counselor, Mental Health (Licence: MI 6801106198) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-08-06 |