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 |