| NPI | 1639367444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN LPC0000003163) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH8053) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2015-09-14 |