| NPI | 1235415381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC4125) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATC019) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2017-02-07 |