| NPI | 1104907856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC33317) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CA 91-115) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-06-04 |