| NPI | 1104352590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 93641) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CA 15-195) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2022-02-19 |