NPI | 1013408731 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT106273) |
Additional Taxonomies | 221700000X Art Therapist (Licence: CA ATCB17430) |
Enumeration Date | 2018-05-29 |
Last Update Date | 2018-05-29 |