| NPI | 1295897163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 176) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 3200) |
| 221700000X Art Therapist (Licence: CO 85-150) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2016-01-18 |