| NPI | 1255962338 |
|---|---|
| Former Name | PHOEBE PANTALEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 141555) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA AMFT126592) |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717002572) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1381670320) | |
| 106H00000X Marriage & Family Therapist (Licence: FL TPMF1927) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2026-07-09 |