| NPI | 1275878662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 221700000X Art Therapist |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2020-02-24 |