| NPI | 1013395532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NY LCAT 1862) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: PA MT-BC 10778) |
| Enumeration Date | 2015-05-16 |
| Last Update Date | 2015-07-14 |