| NPI | 1063618809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH10748) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0600138) |
| 101YP2500X Counselor, Professional (Licence: OH E.0600138) | |
| 221700000X Art Therapist (Licence: NC 08-135) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2021-03-10 |