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 |