NPI | 1841646387 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011505) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI IF0000000281580) |
Enumeration Date | 2016-05-13 |
Last Update Date | 2016-05-13 |