NPI | 1740576685 |
---|---|
Former Name | BRITNEY ARDELL MOBLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1557) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2011-06-20 |
Last Update Date | 2013-12-31 |