| NPI | 1144658048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI L2440990) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: MI SC000000080513) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2013-10-31 |