| NPI | 1952493470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 3853-125) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: WI 66-036) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-09-18 |