| NPI | 1073020731 |
|---|---|
| Former Name | SHARLETT B ROSE SPENCER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112904) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6315) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2024-09-04 |