| NPI | 1235428202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401011783) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: MI IF0000000187310) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2017-03-15 |