| NPI | 1790186096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: VA ATR #14-156) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006238) |
| Enumeration Date | 2014-09-06 |
| Last Update Date | 2024-03-11 |