| NPI | 1083104285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 99952) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CA 18-093) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |