| NPI | 1568740256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010939) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000574) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-11-17 |