| NPI | 1982029484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801096359) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2016-03-16 |