NPI | 1912266461 |
---|---|
Former Name | NANCY BREEZY GASPAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105089) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 70955) |
Enumeration Date | 2012-05-03 |
Last Update Date | 2020-04-14 |