| NPI | 1053651638 |
|---|---|
| Former Name | LILY ALIZA NATHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 96705) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2019-08-16 |