| NPI | 1588171516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: FL 95-090) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: IL 95-090) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2025-11-05 |