| NPI | 1427409655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007203) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 221700000X Art Therapist | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2020-11-03 |