| NPI | 1861707762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN LPC3711) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TN LPC3711) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2024-02-19 |