| NPI | 1679803639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 242957) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: KY 168407) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2024-08-23 |