| NPI | 1467512442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: KY KY-0002) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34002777A) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-02-10 |