| NPI | 1306473145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018231) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI IF0000000336996) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |