| NPI | 1205311859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401019505) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101Y00000X Counselor (Licence: MI 6401016810) | |
| 101YS0200X Counselor School (Licence: MI 6401016810) | |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2022-05-20 |