| NPI | 1851511885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 3312) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: 96-074) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-10-08 |