| NPI | 1396955852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH 0004408) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 0022534) |
| 221700000X Art Therapist | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |