| NPI | 1649648361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0122426) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NY 001909) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2019-05-29 |