| NPI | 1568638872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 53045) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: 07353) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2024-01-09 |