| NPI | 1891355012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER COLLIVER Owner 859-806-8804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 221700000X Art Therapist |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2024-08-15 |