| NPI | 1114187135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1104) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 2433) |
| 106H00000X Marriage & Family Therapist (Licence: MS TO459) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2020-03-28 |