NPI | 1679819080 |
---|---|
Former Name | DEBRA SUE CRAYTHORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01416) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NV 01416) |
Enumeration Date | 2012-12-13 |
Last Update Date | 2017-02-15 |