NPI | 1669839197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011773) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI IF0000000197778) |
Enumeration Date | 2016-01-28 |
Last Update Date | 2019-11-07 |