NPI | 1568425643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN LPC0000001532) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TN LPC0000001532) |
101YM0800X Counselor Mental Health (Licence: TN LPC0000001532) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2008-02-04 |