| NPI | 1417453978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 46.003179) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 001529) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 44.001226) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |