| NPI | 1063621753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MS T0239) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2015-06-29 |