| NPI | 1376916528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC7277) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATC151) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2022-08-22 |