| NPI | 1952857435 |
|---|---|
| Former Name | MARISSA B HOMBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 94199) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL TPMF2014) |
| 106H00000X Marriage & Family Therapist (Licence: OR T2530) | |
| 106H00000X Marriage & Family Therapist (Licence: ID LMFT-8351) | |
| 106H00000X Marriage & Family Therapist (Licence: WA MFPL.MK.70115486) | |
| 106H00000X Marriage & Family Therapist (Licence: UT 14278760-3902) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2026-07-29 |