| NPI | 1518192509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6804-125) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: WI 107-36) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2018-04-05 |