| NPI | 1790855039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 0000000217) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 0000000359) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-08-12 |