| NPI | 1700951282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM 0095571) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NM 3130) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |