| NPI | 1033270939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3188) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NC 01-028) |
| 221700000X Art Therapist (Licence: OR ART-C-10206190) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-10-20 |