| NPI | 1962533539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC3648) |
| Additional Taxonomies | 221700000X Art Therapist |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-02-10 |