| NPI | 1619232048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8735) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MA 12-058) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2014-05-30 |