| NPI | 1659588101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 3918) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 05-132) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |