| NPI | 1396896213 |
|---|---|
| Former Name | NICOLE DENISE LOGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC48275) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 49753) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2014-08-12 |