| NPI | 1043655129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1759) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 247403) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 379336) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2022-11-07 |