| NPI | 1124889274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT140321) |
| Additional Taxonomies | 102X00000X Poetry Therapist (Licence: CA ATR-P24-029) |
| 103K00000X Behavior Analyst (Licence: CA ATR-P24-029) | |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |