| NPI | 1578921193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007982) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401007982) |
| 101YS0200X Counselor, School (Licence: MI 6401007982) | |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2017-01-12 |