NPI | 1174020291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401223229) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC0015902) |
101YS0200X Counselor, School (Licence: CO LPCC0015902) | |
Enumeration Date | 2018-04-06 |
Last Update Date | 2023-08-24 |