| NPI | 1255345385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN LPC0000000367) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 8746) |
| 1041C0700X Social Worker Clinical (Licence: TN LSW0000003141) | |
| 106H00000X Marriage & Family Therapist (Licence: TN LMT0000000133) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 003140-039320) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |