| NPI | 1184484677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 121964) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CA 20-254) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |