| NPI | 1598817199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000004552) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 650) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-11-09 |