NPI | 1164561361 |
---|---|
Former Name | LORI ANN NADEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201358) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 533) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2009-09-21 |