| NPI | 1063113041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT155925) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CA 22-248) |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2025-08-08 |