| NPI | 1417019480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MA 6331) |
| Additional Taxonomies | 102X00000X Poetry Therapist (Licence: MA PTR) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-09-26 |