| NPI | 1588218333 |
|---|---|
| Former Name | SAVANNAH FAYE HARDCASTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113202) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 129868) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2022-10-18 |