| 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 |