| NPI | 1811476625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 221700000X Art Therapist (Licence: KY 243641) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 243628) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |