| NPI | 1043467640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN LMT612) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 612) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2012-05-17 |