| NPI | 1598972051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007014463) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-005288) |
| 221700000X Art Therapist | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2016-12-01 |