| NPI | 1083726483 |
|---|---|
| Former Name | AUTUMN A MANNWIELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC46951) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 49129) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-07-09 |