| NPI | 1477185924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008756) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0701008756) |
| 102X00000X Poetry Therapist (Licence: VA 0701008756) | |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |