| NPI | 1073644654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3815-125) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: WI 79-036) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |