| NPI | 1366720674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401009551) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: MI 276067) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |