| NPI | 1679987317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA MFC83942) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CA ATCB #13-248) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-12-06 |