| NPI | 1437136421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TN LPC384450) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN LADAC3844509) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2007-07-08 |