| NPI | 1992149595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401009679) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: MI 6802084173) |
| 104100000X Social Worker (Licence: MI 6802084173) | |
| 171M00000X Case Manager/Care Coordinator (Licence: MI 6401009679) | |
| Enumeration Date | 2013-04-25 |
| Last Update Date | 2019-07-25 |