| NPI | 1619590916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPCC.0017243) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: CO ATR-P19-532) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |