| NPI | 1396178562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI L2534798) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI CC-WYW950030016) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2020-06-17 |