NPI | 1558731000 |
---|---|
Former Name | NICOLE DAWN WEBB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OK LMFT01234) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-09-28 |
Last Update Date | 2024-08-15 |