| NPI | 1770645327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN 1773) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TN LPC0000001773) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-04-12 |