| NPI | 1194551598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 148735) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CA 23-481) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |