| NPI | 1568894624 |
|---|---|
| Former Name | STEPHANIE RUTH MICHAELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102787) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 69691) |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2019-05-09 |