| NPI | 1063872257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 966) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 3198) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2022-08-29 |