| NPI | 1114989704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC 2392) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8550) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2010-04-22 |