| NPI | 1508115387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN PE 869) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TN 3106) |
| 101YS0200X Counselor School (Licence: TN 541359) | |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2015-04-23 |