| NPI | 1477580587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 863) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NE 08152) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-09 |