| NPI | 1407926645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN LMFT219) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN LPC598) |
| 101YP2500X Counselor Professional (Licence: TN 598) | |
| 103T00000X Psychologist (Licence: TN LPE434) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2019-10-14 |