| NPI | 1386778751 |
|---|---|
| Former Name | MICHELLE CORENNE SCALES/ SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51738) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2023-01-18 |