| NPI | 1194193953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 640101436) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000000793839) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |