| NPI | 1811461023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NC 18-183) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 14877) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-07-30 |