| NPI | 1679805469 |
|---|---|
| Other Name | LIZ MANTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC 35631) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC 553) |
| Enumeration Date | 2010-02-04 |
| Last Update Date | 2014-11-04 |