| NPI | 1053578419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 4936) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000004936) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2012-04-10 |