NPI | 1932828860 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT129590) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA APCC10873) |
221700000X Art Therapist (Licence: 10-198) | |
Enumeration Date | 2022-08-24 |
Last Update Date | 2022-08-24 |