NPI | 1760897706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW0000005399) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN LSW0000005399) |
Enumeration Date | 2014-06-29 |
Last Update Date | 2014-06-29 |