| NPI | 1477171429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002157) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |