NPI | 1336692896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN LMT2227) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1998) |
Enumeration Date | 2016-08-01 |
Last Update Date | 2023-09-28 |