| NPI | 1922492594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013761) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 171M00000X Case Manager/Care Coordinator (Licence: MI 6401013761) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2022-07-07 |