| NPI | 1548776909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IA 084849) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0001952) |
| 221700000X Art Therapist (Licence: IA 17-539) | |
| 221700000X Art Therapist (Licence: CO 17-539) | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2023-06-24 |