| NPI | 1366653339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202352) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 41640) |
| 221700000X Art Therapist (Licence: 04-034) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-05-31 |