| NPI | 1184745127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN 0000000703) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TN 0000000703) |
| 101YP2500X Counselor, Professional (Licence: TN 0000000703) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-06-07 |