| NPI | 1568526762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN LMT0000000911) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 1144) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2013-12-01 |