| NPI | 1881821650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 004818) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC004818) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB0005000) | |
| 221700000X Art Therapist (Licence: 96-011) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2016-11-17 |