| NPI | 1710369525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA APC005151) |
| Additional Taxonomies | 174400000X Specialist |
| 221700000X Art Therapist | |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-11-05 |