| NPI | 1952724734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801098325) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 171m00000x) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2019-11-15 |