NPI | 1003039512 |
---|---|
Former Name | AMY LYNNE LOVELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1157) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-04-11 |
Last Update Date | 2023-11-30 |