| NPI | 1902044266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN LMT0000000886) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT2308) |
| 106H00000X Marriage & Family Therapist (Licence: AR M1008006) | |
| Enumeration Date | 2009-01-25 |
| Last Update Date | 2012-04-23 |