| NPI | 1215443551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 113892) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2019-09-18 |