NPI | 1659689990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401007447) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI 155081) |
Enumeration Date | 2010-09-21 |
Last Update Date | 2010-09-21 |