| NPI | 1992732705 |
|---|---|
| Former Name | PHYLLIS ANNETTE NORMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401001683) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801013350) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |