| NPI | 1770831935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: HI 721) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC84697) |
| 221700000X Art Therapist (Licence: 13-107) | |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2022-04-26 |