| NPI | 1366009581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008333) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: VA 15-217) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |