| NPI | 1962626481 |
|---|---|
| Former Name | ELIZABETH NICOLE RECKTENWALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC# 48520) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2014-08-29 |