| NPI | 1396035986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI L2079431) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI PV0000000772837) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2012-05-04 |