| 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 |