| NPI | 1164658456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009975) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 000469-1) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2023-07-24 |