| NPI | 1922542877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN LPC0000003748) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN LPC0000003748) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2020-09-24 |