| NPI | 1699323774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC10393) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATC169) |
| Enumeration Date | 2019-08-31 |
| Last Update Date | 2020-04-13 |