NPI | 1386975308 |
---|---|
Former Name | NANCY GAYLE MCNUTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 39989) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: LA 854) |
Enumeration Date | 2010-01-15 |
Last Update Date | 2010-01-15 |