| NPI | 1962059295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MI 6801108044) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802090423) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2021-07-11 |