| NPI | 1487726741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN LPC 1817) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN LPC1817) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-07-21 |