| NPI | 1194112193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901204) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 17-370) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2023-07-18 |