| NPI | 1215142476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1762) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2011-03-14 |