| NPI | 1225127210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: CT 91-150) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1825) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-06-30 |