| NPI | 1932456357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN 1494) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TN 1494) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2026-02-26 |