| NPI | 1962827352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401017982) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802064882) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2021-08-08 |