| NPI | 1134321128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 752) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL 0000092) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2013-02-27 |