| NPI | 1124580972 |
|---|---|
| Former Name | MARCIA JEANNE BRADLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 645) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT18213) |
| 225700000X Massage Therapist (Licence: HI 16718) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2021-08-06 |