| NPI | 1881095842 |
|---|---|
| Former Name | NINA MACKENZIE PAYTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 1169) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7186) |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2025-08-30 |