| NPI | 1508160508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT109074) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CA 15-231) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2021-05-17 |