| NPI | 1598804551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN LPC0000002526) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YM0800X Counselor Mental Health (Licence: TN LPC0000002526) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2025-06-23 |