| NPI | 1962093039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC583) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CA 15-150) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |