NPI | 1669140166 |
---|---|
Former Name | ANALEE MEGAN PHANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120842) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 13323058-3902) |
Enumeration Date | 2021-08-31 |
Last Update Date | 2024-02-21 |