| NPI | 1538203955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 269) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MA 138) |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2007-07-08 |