| NPI | 1366945818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC25000) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CA 91-060) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |