| NPI | 1023180270 |
|---|---|
| Former Name | SELENA EMILY MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC6452) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-04-10 |