| NPI | 1043351752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFT40559) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |