NPI | 1407571904 |
---|---|
Former Name | MADISON TAYLOR SALSMAN NICOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 150703) |
Additional Taxonomies | 225A00000X Music Therapist (Licence: 13585) |
Enumeration Date | 2022-10-06 |
Last Update Date | 2025-08-21 |