NPI | 1780814350 |
---|---|
Former Name | NANNETTE FADER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OH F1500022) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NV 01313) |
Enumeration Date | 2009-07-17 |
Last Update Date | 2025-01-09 |