| NPI | 1477789063 |
|---|---|
| Former Name | TOREY JONELL WICKLIFFE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53977) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2015-04-16 |