| NPI | 1609149251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401012630) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI sc0000000769606) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2015-12-02 |