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 |