NPI | 1609045533 |
---|---|
Former Name | DENA NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC LMFT1996) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT52550) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2019-08-21 |