| NPI | 1588702542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TN LMT0000000508) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN LMT0000000508) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |