| NPI | 1144567496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401011399) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI 187882) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |