| NPI | 1790285997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007516) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: VA 16-142) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |