| NPI | 1831724327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TN LADAC0000001109) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN LPC0000003844) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |