| NPI | 1932616158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 221700000X Art Therapist | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2025-12-05 |