| NPI | 1922490135 |
|---|---|
| Former Name | EILEEN MARIE O'NEILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: KY 114604) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 167748) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2024-05-01 |