NPI | 1164712089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 169) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 169) |
Enumeration Date | 2011-04-12 |
Last Update Date | 2011-04-12 |