| NPI | 1386036812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: MD ATC310) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 221700000X Art Therapist (Licence: OR 10205595) | |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2022-11-11 |