| NPI | 1699060301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TN LPC0000001771) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 1211) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |