NPI | 1629512330 |
---|---|
Former Name | VANESSA NICHELE QUINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-12-14 |
Last Update Date | 2021-04-15 |