| NPI | 1952548471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MS PAT0006) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MS PAT0006) |
| 101YM0800X Counselor, Mental Health (Licence: MS PAT0006) | |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2016-08-24 |