| NPI | 1679903769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0012756) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 17-045) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2018-06-05 |