NPI | 1912293986 |
---|---|
Former Name | STEPHANIE BECKFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 01367) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2011-06-28 |
Last Update Date | 2018-03-20 |