| NPI | 1518270578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA 0313802) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2010-07-20 |