| NPI | 1356903231 |
|---|---|
| Other Name | MARY LESLIE GROVES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT117176) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA APCC7459) |
| 225600000X Dance Therapist | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2020-01-30 |