| NPI | 1114249208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1426) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000014733) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2020-03-25 |