| NPI | 1649390972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 45109) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 84933) |
| 225600000X Dance Therapist (Licence: 2001-ADTR-891) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2011-01-20 |