NPI | 1629675350 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN LMT0000001446) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 38035) |
Enumeration Date | 2020-10-06 |
Last Update Date | 2020-10-06 |