| NPI | 1871949321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: MI 6801085227) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6801085227) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |