| NPI | 1235245283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401003650) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MI 200478) |
| 101Y00000X Counselor (Licence: MI C-J0118) | |
| 221700000X Art Therapist (Licence: MI 11186) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-05-20 |