| NPI | 1982254561 |
|---|---|
| Former Name | EMMA JAEGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111175) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MT 71907) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2025-11-14 |