| NPI | 1043449010 |
|---|---|
| Former Name | NICOLE KAFENHAUS GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53760) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC 53760) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2022-11-25 |