| NPI | 1356720379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401013411) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000000800285) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |