| NPI | 1588165807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: OR 12-122) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C4698) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |