| NPI | 1477154276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 136816) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 14483) |
| 221700000X Art Therapist (Licence: 20-261) | |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2023-08-25 |