| NPI | 1275182719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007565) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000129) |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2019-09-07 |