| NPI | 1952420895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 001551) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TN LPC 00511) |
| 101YM0800X Counselor Mental Health (Licence: SC LPC 5511) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2023-11-27 |