| NPI | 1992079149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801062772) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6801062772) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2024-08-02 |