| NPI | 1326624214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC0000002224) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist (Licence: TN LPC0000002224) | |
| 164W00000X Licensed Practical Nurse (Licence: TN LPN0000082211) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-23 |