Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 2707000603 | MI |
NPI | 1093186959 |
---|---|
Provider Name | Kesha Norman |
First Address | Burton, MI 48529-1409 |
Second Address | Burton, MI 48529-1409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2015 |
Last Update Date | 16/10/2015 |