| NPI | 1508921941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3705) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NC 05-066) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2023-04-10 |