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 |