| NPI | 1427566322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C4710) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 17-019) |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2018-01-14 |