| NPI | 1811402126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 3677) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TN 1431) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |