| NPI | 1144394271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2004032922) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MO 2004032922) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2021-12-22 |