| NPI | 1649383126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 5792) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN LPC000000620) |
| 106H00000X Marriage & Family Therapist (Licence: FL MT 2126) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |