| NPI | 1134637291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NM 2432) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH8617) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |