NPI | 1881812840 |
---|---|
Former Name | AMY MARIE LENZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 84544) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF 56685) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2015-01-06 |