| NPI | 1417221128 |
|---|---|
| Former Name | PHYLLIS MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 152082) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2024-12-17 |