| NPI | 1568854057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 174H00000X Health Educator | |
| 221700000X Art Therapist | |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |