NPI | 1780938589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN LMFT1333) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY LMFT243507) |
Enumeration Date | 2012-10-31 |
Last Update Date | 2019-03-05 |