| NPI | 1992443600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851117203) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2023-09-15 |