| NPI | 1376975136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 2551-125) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ LAC-12814) |
| 221700000X Art Therapist (Licence: 07-087) | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |