| NPI | 1669776944 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010768) | 
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI 227493) | 
| Enumeration Date | 2010-12-31 | 
| Last Update Date | 2010-12-31 |