| NPI | 1154602381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 102X00000X Poetry Therapist | |
| 1744G0900X Specialist, Graphics Designer | |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2013-01-28 |