| NPI | 1972674166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 221700000X Art Therapist (Licence: NC 001432529) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 6835) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2008-01-23 |