| NPI | 1235237009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5096) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 1397) |
| 221700000X Art Therapist (Licence: MA 05-147) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-02-19 |