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 |