| NPI | 1063891109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD ATC110) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATC110) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2020-06-12 |