| NPI | 1770805178 |
|---|---|
| Former Name | NIKKIAH WYATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701005472) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC PRC13985) |
| 106H00000X Marriage & Family Therapist (Licence: DC LMFT000115) | |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2018-08-09 |