| NPI | 1316202237 |
|---|---|
| Former Name | VYVY ROXANNE PHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 98922) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2026-05-01 |