| NPI | 1538285853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN LMT0000001032) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC52176) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-07-17 |