| NPI | 1912330515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: MI 6301015654) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301015654) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-09-04 |