NPI | 1891963138 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN LPC0000002517) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH6857) |
Enumeration Date | 2008-02-20 |
Last Update Date | 2010-11-02 |