| NPI | 1306157748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: MA 13-119) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8818) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2017-03-22 |