| NPI | 1700190931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704110125) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NC 10-057) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2011-02-10 |