| 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 |