| NPI | 1225514292 |
|---|---|
| Former Name | EMMA BRODGINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001831) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: CA AMFT184133) | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2022-11-04 |