| NPI | 1134702137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 120138) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 93-148) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |