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 |