| NPI | 1295025575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 9022525-6004) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 06-009) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2019-06-11 |