| NPI | 1437637139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 102433) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CA 14-149) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2019-03-27 |