| NPI | 1790786762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC0000001420) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN LPC0000001420) |
| 101YM0800X Counselor, Mental Health (Licence: TN LPC0000001420) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2008-02-04 |