| NPI | 1952866220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 103TH0004X Psychologist Health |
| 133N00000X Nutritionist | |
| 221700000X Art Therapist | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |