| NPI | 1558187476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist |
| Additional Taxonomies | 225800000X Recreation Therapist |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |