| NPI | 1053157172 |
|---|---|
| Doing Business As | INSIGHTFUL ROOTS THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARISA RONQUILLO Owner 209-451-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |