NPI | 1356406870 |
---|---|
Former Name | NELL HELEN WEGMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001201) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 79-124) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2011-06-22 |