| NPI | 1598220386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401012328) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000000755886) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-03-09 |