| NPI | 1275963738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011482) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CO ATCB# 12-029) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2013-11-20 |