NPI | 1548935067 |
---|---|
Former Name | NICOLE MONEE GITTENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK 10129) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002101) |
106H00000X Marriage & Family Therapist (Licence: FL MT3906) | |
Enumeration Date | 2021-08-16 |
Last Update Date | 2022-02-14 |