| NPI | 1437212495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPCMHSP#40) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN LMFT#33) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-01-19 |