| NPI | 1073872206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006713) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RPT-S-S1805) |
| 101YP2500X Counselor, Professional (Licence: CO LPC0011396) | |
| 2080C0008X Pediatrics, Child Abuse Pediatrics | |
| 221700000X Art Therapist (Licence: 12-136) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2018-01-03 |