| NPI | 1194818096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TN LPC1757) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: FL LMHC2593) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2009-02-16 |