| NPI | 1508988049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN CPC1377) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: TN PE01456) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |