| NPI | 1083781728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TN LPC0000000083) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN LMT0000000026) |
| 103TC0700X Psychologist, Clinical (Licence: TN PE0000000293) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |