| NPI | 1467916171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 12064) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NC 17-094) |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2019-01-27 |