NPI | 1952744187 |
---|---|
Former Name | JESSICA CRAIGHEAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401013581) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI SC0000000809771) |
Enumeration Date | 2013-04-08 |
Last Update Date | 2013-04-08 |