| NPI | 1114272929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005249) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NC 08-136) |
| 221700000X Art Therapist (Licence: VA 08-136) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2015-04-16 |