| NPI | 1821224288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW5014) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN LSW5014) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TN LSW5014) | |
| 101YM0800X Counselor Mental Health (Licence: TN LSW5014) | |
| 104100000X Social Worker (Licence: TN LSW5014) | |
| 106H00000X Marriage & Family Therapist (Licence: TN LSW5014) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |