| NPI | 1851701809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 5682948) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 221700000X Art Therapist | |
| 225600000X Dance Therapist | |
| 222Q00000X Developmental Therapist | |
| 225700000X Massage Therapist | |
| 225A00000X Music Therapist | |
| 101YM0800X Counselor, Mental Health | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-08-04 |