| NPI | 1821485871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 3740) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 168682) |
| 106H00000X Marriage & Family Therapist (Licence: NY 000112) | |
| 106H00000X Marriage & Family Therapist (Licence: TN 1285) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-10-30 |