NPI | 1093166936 |
---|---|
Former Name | NICOLE V FRADY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI4172) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2016-06-22 |
Last Update Date | 2024-10-28 |