| NPI | 1851531073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN LPC0000000617) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: TN CPT0000000003) |
| 103K00000X Behavior Analyst (Licence: TN PE0000011292) | |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |