| NPI | 1396136164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN TLPC3524) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN CPA29) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-09-30 |