| NPI | 1437467016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 260) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 260) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TN 260) | |
| 101YM0800X Counselor Mental Health (Licence: TN 260) | |
| 171M00000X Case Manager/Care Coordinator (Licence: TN 260) | |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |