| NPI | 1073343695 |
|---|---|
| Former Name | HEATHER COLLIGAN PRANGENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT38820) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |