| NPI | 1699949347 | 
|---|---|
| Professional Name | NANCY BLOOM | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2008-04-14 | 
| Last Update Date | 2008-04-14 |