| NPI | 1356527873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN LPC295) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN PE1299) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2012-12-06 |