| NPI | 1487614582 |
|---|---|
| Professional Name | C. MARIELLE KANTZLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 9749) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL MH9749) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-01-06 |