| NPI | 1912367350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 70036) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: TX 70036) |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2016-10-28 |