| NPI | 1679773295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701002411) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: VA 88-180) |
| Enumeration Date | 2007-07-22 |
| Last Update Date | 2007-07-22 |