| NPI | 1598948242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD lpc-mh30533) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 473) |
| 221700000X Art Therapist | |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2018-09-13 |