| NPI | 1003494675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC15257) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: MD ATC343) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2024-08-05 |