| NPI | 1558403246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3547125) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: WI 06118) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |