| NPI | 1669636742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN LPC0000002864) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2021-12-06 |