| NPI | 1801819289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN LPC0000001755) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2009-04-14 |