| NPI | 1538399720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: 12-064) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8449) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2023-01-31 |