| NPI | 1528225505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: KY 162) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 0818) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2011-09-12 |