| NPI | 1275071771 |
|---|---|
| Former Name | MALLORY WILKINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 109864) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2022-12-01 |