NPI | 1073030615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017777) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401016134) |
101YS0200X Counselor, School (Licence: MI SC0000000946263) | |
Enumeration Date | 2017-08-24 |
Last Update Date | 2023-12-20 |