| NPI | 1790901254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 6821) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: SC 6615) |
| 101YP2500X Counselor Professional (Licence: OH E 0600311) | |
| 101YP2500X Counselor Professional (Licence: OH E.0600311-SUPV) | |
| 221700000X Art Therapist | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-05-14 |