| NPI | 1245353804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2017004077) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P1510112) |
| 221700000X Art Therapist (Licence: NY 000340) | |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2019-05-24 |