| 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: OR T2530) |
| 106H00000X Marriage & Family Therapist (Licence: ID LMFT-8351) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2025-01-09 |