| NPI | 1689745713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC1986) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATC009) |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2017-02-24 |