| NPI | 1932618840 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801117465) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 1041C0700X Social Worker, Clinical (Licence: MI 6851107311) | |
| 171M00000X Case Manager/Care Coordinator (Licence: MI 6802089575) | |
| Enumeration Date | 2017-09-22 | 
| Last Update Date | 2024-01-10 |