| NPI | 1629355672 |
|---|---|
| Former Name | MIRANDA REDDICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 2348) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 7079A) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2022-10-03 |