| NPI | 1396153490 |
|---|---|
| Former Name | LILY FRANCES BRAVERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 106288) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CA 16-384) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2019-10-10 |