| NPI | 1972824365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TN LMT0000000801) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: ME MF3231) |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2010-06-20 |