| NPI | 1619191921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013678) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6802079981) |
| 221700000X Art Therapist | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2018-06-07 |