| NPI | 1669719449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 7718) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 11-160) |
| Enumeration Date | 2013-01-13 |
| Last Update Date | 2019-12-30 |