| NPI | 1558992123 |
|---|---|
| Former Name | SELAH JOY MCMATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 02267) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MN 509827) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-02-01 |