| NPI | 1275087678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN LPC0000005352) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2021-03-11 |