| NPI | 1720164908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: PA PC001898) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: NC 79001) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |