| NPI | 1750590477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2479-125) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: WI 62-036) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-12-29 |