| NPI | 1245683952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: CO 15-027) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: CO NLC.0106470) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |