| NPI | 1902955784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8081) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: FL 97-043) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |