NPI | 1174644348 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 192) |
Additional Taxonomies | 221700000X Art Therapist (Licence: WI 34036) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2021-06-07 |