| NPI | 1588939128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 12819) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 18-073) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2018-07-02 |