| NPI | 1194980102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701006777) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2016-10-13 |