| NPI | 1275878662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114434) |
| 221700000X Art Therapist | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2024-06-27 |